Timothy Eugene Gordon in Santa Fe - Optometrist
Timothy Eugene Gordon - NPI 1053324988
Timothy Eugene Gordon is a Optometrist in Santa Fe, New Mexico. Timothy Eugene Gordon practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Timothy Eugene Gordon is 1053324988. The last update date is 2013-09-27.
Timothy Eugene Gordon's current location address is Po Box 22683, Santa Fe, New Mexico. You can contact this provider via phone number 5756394767 and fax number 5054241384. The mailing address for Timothy Eugene Gordon is Po Box 22683, Santa Fe, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Eugene Gordon |
|---|---|
| Address | Po Box 22683, Santa Fe, New Mexico |
| Phone Number | 5756394767 |
| Fax Number | 5054241384 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1053324988 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2013-09-27 |
Provider Mailing Address Detail
| Address | Po Box 22683 |
|---|---|
| City | Santa Fe |
| State | New Mexico (NM) |
| Post Code | 875022683 |
| Phone Number | 5756394767 |
| Fax Number | 5054241384 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2274 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000P4328 | NM | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Timothy Eugene Gordon by the Centers for Medicare & Medicaid Services?
The Timothy Eugene Gordon has been issued the NPI (National Provider Identifier) 1053324988. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Timothy Eugene Gordon's physical address?
The Timothy Eugene Gordon is physically located at Po Box 22683, in the city of Santa Fe, NM, with the postal code 875022683.
What is Timothy Eugene Gordon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Timothy Eugene Gordon is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date was the 1053324988 assigned to Timothy Eugene Gordon?
The Timothy Eugene Gordon was issued its 1053324988 on 2006-08-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Timothy Eugene Gordon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Timothy Eugene Gordon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-09-27.